Organization
BUILDING BLOCKS EKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA PERRY (OWNER)
(606) 547-1070
Entity
Organization
Contact information
Practice address
2414 BLACKBURN AVE, ASHLAND, KY 41101-4734
(606) 210-1571
Mailing address
2414 BLACKBURN AVE, ASHLAND, KY 41101-4734
(606) 210-1571
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VZ3VT5HC4
DEVELOPMENTAL INTERVENTION PROVIDER
KY
05
—
VZ3VT5HC4
—
KY
Enumeration date
07/20/2017
Last updated
07/21/2022
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